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Long-term impacts of hemodialysis on the right ventricle: Assessment via 3-dimensional speckle-tracking echocardiography 期刊论文

编号：

7dcecdd5-0368-4dbe-89f4-a2104345c458
作者：

Sun, Minmin^[1,2];Cao, Xuesen(曹学森)^[3]Guo, Yao^[1,2];Tan, Xiao(谭笑)^[3]Dong, Lili^[1,2];Pan, Cuizhen^[1,2];Shu, Xianhong^[1,2];
语种：

English
期刊：

CLINICAL CARDIOLOGY ISSN：0160-9289 2018 年 41 卷 1 期 (87 - 95) ; JAN
收录：
关键词：

Intradialytic Hypotension Maintenance Hemodialysis Right Ventricular Function Speckle Tracking Three-Dimensional Echocardiography
摘要：

Background: Right ventricular (RV) dysfunction is a major cause of death in patients undergoing maintenance hemodialysis (MHD). We used 3-dimensional speckle-tracking echocardiography (3DSTE) to evaluate long-term impacts of MHD on RV function. Hypothesis: In this study, RV dysfunction in MHD patients will be revealed and studied in depth by 3DSTE. Methods: Echocardiography was performed on 110 consecutively enrolled individuals: 30 controls and 80 patients with MHD. Conventional echocardiographic parameters and 3DSTE parameters were obtained and compared between groups. Univariate and multivariate logistic regression analysis identified independent predictors of intradialytic hypotension (IDH). Results: Compared with the control group, RV end-diastolic volume (RVEDV) was markedly enlarged (46.1 +/- 11.8 mL/m(2) vs 42.3 +/- 8.6 mL/m(2); P = 0.047), whereas RV ejection fraction (RVEF) was significantly lower in the MHD group (50.6% +/- 5.8% vs 55.2% +/- 3.7%; P < 0.001). RV global, septal, and lateral wall longitudinal strains were also decreased in the MHD group (-18.2 +/- 3.6 vs -22.6 +/- 4.3%; -13.1 +/- 3.8 vs -17.5 +/- 5.5%; and -23.4 +/- 4.7 vs -27.7 +/- 4.0%, respectively; all P < 0.001). RVEF (odds ratio [OR]: 0.72, 95% confidence interval [CI]: 0.51 to 1.01, P = 0.038) and history of diabetes (OR: 11.14, 95% CI: 1.16 to 106.71, P = 0.036) were 2 independent predictors of IDH. Ultrafiltration rate was an independent factor associated with RVEF (beta = -0.01, 95% CI: -0.019 to 0.001, P = 0.039). Conclusions: RVEF by 3DSTE could be an important predictor of IDH in MHD patients, and lower ultrafiltration rate was protective for RVEF. 3DSTE may have potential in RV evaluation and risk stratification in MHD patients.
推荐引用方式
GB/T 7714：

Sun Minmin,Cao Xuesen,Guo Yao, et al. Long-term impacts of hemodialysis on the right ventricle: Assessment via 3-dimensional speckle-tracking echocardiography [J].CLINICAL CARDIOLOGY,2018,41(1):87-95.
APA：

Sun Minmin,Cao Xuesen,Guo Yao,Tan Xiao,&Shu Xianhong.(2018).Long-term impacts of hemodialysis on the right ventricle: Assessment via 3-dimensional speckle-tracking echocardiography .CLINICAL CARDIOLOGY,41(1):87-95.
MLA：

Sun Minmin, et al. "Long-term impacts of hemodialysis on the right ventricle: Assessment via 3-dimensional speckle-tracking echocardiography" .CLINICAL CARDIOLOGY 41,1(2018):87-95.

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